Transcript Marketing/Communications

New Mexico Health
Information Collaborative (NMHIC)
The Statewide Health Information Exchange
(HIE) Network
Thomas East, PhD, CEO/CIO
Dale Alverson, MD, CMIO
New Mexico Telehealth Project-Summit
June 16, 2015 09:30-10:30
Overview and Outline
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NMHIC HIE- What It Is and How It Works
Data Providers and Data Elements
NMHIC Status and Outreach Update
What the NMHIC HIE Offers
Privacy & Security and Patient Consent
NMHIC’s role in telehealth in NM
5 year outlook of the NMHIC and its possible
developments
• Examples of NMHIC HIE/ Demonstration
• Q&A
NMHIC Vision
Perfectly informed healthcare for New Mexico
What is Interoperability?
• ONC follows the IEEE definition of interoperability
as the ability of systems to exchange and use
electronic health information from other systems
without special effort on the part of the user.
• Interoperability Vision for the Future-An
interoperable health IT ecosystem makes the
right data available to the right people at the
right time among disparate products and
organizations in a way that can be relied upon
and meaningfully used by recipients.
We Are All About Interoperability
Mission Statement
Innovative services, technology,
analytics and research to provide high
quality, comprehensive, secure
information and knowledge when and
where it is needed to facilitate optimal
healthcare for New Mexicans.
Different EHRs of Different Healthcare Provider
Organizations can’t easily “talk” to each other to share
information
Clinician
Office A
Hospital A
Emergency
Department
Hospital B
Emergency
Department
Gathers and associates
records with the right
patient (eMPI)
Clinician
Office B
Diagnostic
Tsts & Imaging
New Mexico HIE- How It Works
Clinician
Office
Hospital
Integrated Clinical
Record, EMPI and
Vocabulary Services
Interoperability Services
V2.x, CCD, CCDA
XDS / XDR
Hospital
Clinician
Office
Diagnostic
Tests & Imaging
Secure
Messaging
Workflow Integration
Single Sign On (SAML)
Send to my EHR
Query Retrieve
Event Notifications
Mobile
Emergency
Department
Remotely Hosted SAAS by Orion
Solution: Core HIE – High Level
Physicians
Privacy Officers
HTTPS
Hospital with
EMR
Health Information
Exchange (HIE)
HL7/CCD, XDS, SSO
Clinic with
EMR
Seamless integration with EHRs
• User Subscribed Notifications
• Send to My EHR
• Portal embedded within EHR
Other HIEs
HIE Platform
Web-based access to the
longitudinal patient record
• Demographics
• Labs, Rads
• Encounters
• Allergies
• Diagnosis
• Transcribed documents
• Medications
• Problems
• Procedures
• Immunizations
Direct Secure Messaging
Patient Privacy & Consent
Notifications &
Subscriptions
Secure
Inbox
E-Mail
Mobile
Core HIE data
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Demographics
• Lab Data
Allergies
• Radiology Data
Medications
• Clinical Notes
Immunizations
Insurance
Procedures
Problem List
Encounters (Visits) & Diagnoses
Note: Data available varies by organization
Public Health Reporting
• 3/31 Went live with a completely new version of software with
expanded functionality and support for new MU2 required
interfaces.
• Brought 5 new hospitals on to CDC Syndromic Surveillance
Reporting.
• Current status
– 23 of 44 (55% of beds) Hospitals and Labs with Electronic Lab Reporting
– 22 of 37 (72% of beds) Hospitals with ED Syndromic Surveillance
Reporting
– 19 of 37 (54% of beds) Hospitals with CDC Syndromic Surveillance
Reporting
– All but 5-6 of remaining hospitals in queue for laboratory and
emergency department reporting.
Value/Benefits of HIE
• Access to each patient’s health information with patient
consent
• The patient doesn’t have to keep remembering and repeating
their health history
• Improved situational awareness regarding patient’s health
and use of health systems, better coordination of care
• Better evaluation capability and improved efficiency in making
diagnosis and management plans
• Decrease unnecessary duplication of tests
• Readmission avoidance
• Other Benefits : Data Analytics, Public Health, PCMH, ACO
Current NMHIC HIE Data Providers
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ABQ Health Partners
CHRISTUS St. Vincent Regional Medical Center
Holy Cross Hospital, Taos
Lovelace Health System
Presbyterian Healthcare Services
TriCore Reference Laboratories
University of New Mexico Hospitals
San Juan Regional (In testing)
Quest Diagnostics (In implementation)
LabCorp Labs (In Implementation)
Current NMHIC HIE Data Providers
NM Hospital Beds Providing Data
NMHIC – HIE Status
2204
48%
2426
52%
Data Providers
Not Providing
Data
• HIE – Live
– History Backload from Jan. 2013 forward
• >140M Messages Loaded
• Over 1.5 Million patients loaded- All of Centennial Care
• Seven data providers/organizations (27 feeds)
– Clinical Portal will have Core Functionality
– CCD/CCDA exchange
– Single Sign On
• Direct secure messaging now available
• eHealth Exchange gateway will be live Fall 2015
Who is joining the exchange?
Eight rural hospitals, seven clinics, one
national laboratory, one statewide diagnostic
imaging organization, and the New Mexico
Primary Care Association will be on board in
the next few months. Several other
organizations have expressed interest and
are currently in contract review.
EMR / HIE Workflow Options
Example Integration (Epic)
Single Click access to Clinical Portal
Example Integration (Cerner)
Single Click access to Clinical Portal
Privacy and Security
• Information within the NMHIC HIE is subject
to Federal and State Privacy and Security
Regulations which includes HIPAA, HITECH and
other regulations.
• Information is encrypted at rest and in transit.
• Access is limited to authorized users only.
• Security meets industry standards such as
SSAE16 (auditing) and ISO127001
Privacy and Security Services
• Privacy and Consent Management /Auditing
• HIPAA and HITECH Privacy and Security Training
Patient Consent
Patient’s HIE Consent Decision
Give Consent
Do Not Give
Consent
Full access to all
• Consent Not Granted
information by
• Decision Not Made, or
that organization. • Consent Has Been
Withdrawn
Information is in NMHIC HIE,
but no access is permitted
unless “Break the Seal”
conditions exist. Break the Seal
is available for limited time and
is audited.
Opt Out
No access to any
information by
anyone, even in
an emergency.
“Patient not found”
Overrides any
previous consents
given.
Patient Consent - “Breaking the Seal”
• Emergency “break the seal” is possible
• Limited access for 30-minutes
– can be repeated but for that specific situation only
• Attempts to obtain written consent should
always follow
• Highly audited
• NOTE: If the patient has “opted-out,” their
HIE record cannot be viewed under any
circumstance
NMHIC and Telehealth
• Discussions with Net Med Express about
virtual integration of portal with telehealth
application for tele primary care.
• Discussion with project ECHO about how the
HIE may fit their needs
NMHIC Future Directions
http://www.healthit.gov/policy-researchers-implementers/interoperability
10-Year Overarching Goals and Objectives for
Expanding Interoperable Health IT Infrastructure
Strategic Objectives
-Initiatives
Customer Perspective
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Provide Essential Data for Transitions of Care
– Get data from rural and critical access hospitals (Rural Hubs)
– Get data from physician practice groups
– Get a transitions of care record from all sources
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Provide Access When and Where Needed
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Onboard users from Hospitals, Providers, Payers
Develop reporting services
Implement HealtheWay gateway for SSA and VAH
Develop connections to bordering states (HIE-HIE)
Provide Excellent Public Health Reporting
– Upgrade public health reporting services
– Onboard new HL7 2.5.1 Interfaces
– Onboard new Syndromic surveillance feeds
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Delighted Customers
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Outreach Activities to improve LCF/NMHIC image
Monitoring, support and recovery of users
Training
Advisory Committee Formation
Annual customer satisfaction survey
Routine rounding with customers
Strategic Objectives
-Initiatives
Financial Perspective
• Be Sustainable
– Increase Revenue
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Add more participating organizations
Explore new markets (payers, behavioral health, long term care)
Evaluate collaborative opportunities
Consider value added services
– Analytics (secondary data use)
– Prescription Monitoring Program Access
– Advanced Directives
– Imaging services
– Minimize Expense
• Only add new expense when there is new revenue associated
– Increase the margin
• Increase margin to help fund growth and expansion
Principle-Based Interoperability:
Working Toward a Long-Term Vision with Near-Term Wins
Live Demonstration of
NMHIC HIE Portal
Questions?
How to contact us
Call: (505) 938-9909
Email: [email protected]
Visit: www.nmhic.org